Registrations Request Log Form
This form was designed to facilitate the most efficient way to collect registration details to allow for a seamless registration process.
User Profile
Select Customer Profile*
Please update the Customers profile the query pertains to:
--Select--
End User
Business Partner
First Name*
Last Name*
Email*
Customer Number/SiteCode
Product Information
Please select the product for which this request is for as well as the type of assistance required.
Please select your products
--Select--
Sage 50(Xpress/Partner)
Sage Payroll
Sage 200 Evolution
Sage Fixed Assets
Pervasive Licenses
Other
What do you need assistance with
--Select--
Registration Code Request
Module Amendment(add/remove)
Temp Code Request
Lock/Unlock
Deactivate
Pervasive POS
Pervasive CS
Customer Details Update
Name Change
BP Linkage Request
Portal Passwords
Internal Code
Complaint
Other
Are you adding or removing any Add on Modules
Please select the correct option to allow us to facilitate the correct steps to follow.
--Select--
Yes(Adding)
Yes(Removing)
Please list the modules you are adding or removing*
Please provide the module details. Please note if you are adding any new modules we need the invoice to proceed any further. Ifyou are removing any modules upload the Module Indemnity Form. Use the file upload option to submit the required document.
Please select the Date Period for the Temp Code
--Select--
7 day Temp Code
14 day Temp Code
30 Day Temp Code
3 month Temp Code
Please provide the reason for the temp code*
Product Pin\Access Code*
This can be found in the Software Registration Assistant
Please select lock/unlock serial number
--Select--
Lock Serial Number
Unlock Serial Number
Please provide the reason*
--Select--
Serial number Credited
Serial number Re-Invoiced / Re- Registered
Software Incorrectly Used (Possible Piracy)
Please provide the reason*
--Select--
Serial number Credited
Incorrectly upgraded to latest version
Pervasive License Key Request
(Please ensure the Pervasive Form & Invoice is uploaded to complete this request)
--Select--
Point of Sale Tills
Client Server
Please provide reason for update of customer details e.g. business moved
Please list all the details that needs to be changed
Name Change Request
(Please upload all relevant Documents to proceed with the name change)
Additional Registration Requirement Info
Please provide additional information to help us resolve your registration request efficiently.
File Attachments
Please attach all supporting documents for your registrations requests
>For any additional purchased modules please attach a proof of purchase invoice.
>For PVSW registrations we need the PVSW form and Invoice attached.
Submit